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HomeMy WebLinkAbout0035216-Building (siding) € r�r � /� CITY OF OSHKOSH N° 35216 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - `. . ADDRESS- D��� � �. ��,� PLAN NO. OWNER � DESIGNER . -. USE/NATURE OF WORK BUILDING CONTRACTOR Size " Sq. Ft. # Rooms # Stories /�� Height Foundation Class of Const. a/ Occupancy Permit��O _ HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR ; Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH _Disp —WSoft —CBasin _Lav _Sh _DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub —Eject —SS _Water Other FEES: Valuatio ��' d J P�rmit Fee Paid $ �o•�J Park Dedication $ ISSUED BY Date �Q � Final/O.P. In the performance of this work I agree to perform a�l work pursuant to rules governing the described construction. SIGNATURE �� �� .� � ��J, � ENT R DATE ADDRESS TELEPHONE�M �